Gandam Venkata, Himabindu

Gandam Venkata, Himabindu is an individual health care provider with primary practice located at 761 Stirling Center Pl , Lake Mary FL 32746. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Gandam Venkata, Himabindu can be contacted via phone (386) 274-2977.

Contact Information

Primary practice address
761 Stirling Center Pl Lake Mary FL 32746
Phone: (386) 274-2977
Fax: (386) 274-2362
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X ME15113 Florida

Profile Details

NPI number 1730576679
LBN Legal business name Gandam Venkata, Himabindu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2015
Last updated Aug 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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